UPI (Provider ID): 10050
Change Report (if Any):

Short Name: PEP EARLY INT E

Long Name 1: POSITIVE EDUCATION PROGRAM
Long Name 2: EARLY INTERVENTION CENTER EAST

Address 1: 5443 RAE ROAD
Address 2:

City: LYNDHURST
Zip Code: 44124
County: CUYA

Contact: LAURIE ALBRIGHT
Title:
Phone: 4404610079
FAX: 4404615326

Vendor: 10043

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016